| Tara L Mitchell, LPC | |
|
203 United Way Drive, Frederic, WI 54837-8938 | |
| (715) 327-4402 | |
| (715) 327-8509 |
| Full Name | Tara L Mitchell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 203 United Way Drive, Frederic, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225173644 | NPI | - | NPPES |
| 40969600 | Medicaid | WI | |
| 7C790MI | Other | MN | BCBS OF MN |
| HP83841 | Other | WI | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3728-125 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Mitchell, LPC 203 United Way Drive, Frederic, WI 54837-8938 Ph: (715) 327-4402 | Tara L Mitchell, LPC 203 United Way Drive, Frederic, WI 54837-8938 Ph: (715) 327-4402 |
James Tangen-foster, Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4322 | |
Kyle Clemins, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4402 | |
Amanda Finstad, M.A, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4402 | |
Melissa Catherine Gendreau, PCTL Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4402 Fax: 715-327-4470 | |
Bethany Derby, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4402 | |
Ashley A Esanbock, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 United Way, Frederic, WI 54837 Phone: 715-327-4402 Fax: 833-485-5165 |